Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Dietary and Lifestyle Factors and Risk of Non-Hodgkin's Lymphoma in Oman

  • Ali, Amanat (Department of Food Science and Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University) ;
  • Al-Belushi, Buthaina S. (Department of Food Science and Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University) ;
  • Waly, Mostafa I. (Department of Food Science and Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University) ;
  • Al-Moundhri, Mansour (Department of Medicine, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Burney, Ikram A. (Department of Medicine, College of Medicine and Health Sciences, Sultan Qaboos University)
  • Published : 2013.02.28
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Abstract

Background: The incidence of various types of cancers including the non-Hodgkin's lymphoma (NHL) has increased during the recent years. Diet and lifestyle factors have been reported to play an important role in the etiology of NHL. However, no such data are available from the Middle Eastern countries, including Oman. Materials and Methods: Forty-three histologically confirmed cases of non-Hodgkin's lymphoma (NHL) diagnosed at the Sultan Qaboos University Hospital (SQUH) and the Royal Hospital (RH), Muscat, Oman and forty-three age and gender matched controls were the subjects of this study. Frequency matching was used to select the control population. Information on social and demographic data as well as the dietary intake was collected by personal interviews, using a 117-items semi-quantitative food frequency questionnaire. Results: A non-significant increased risk of NHL was observed with higher body mass index (BMI) (OR=1.20, 95%CI: 0.45, 2.93), whereas a significantly decreased risk of NHL was associated with a higher educational level (OR=0.12, 95%CI: 0.03, 0.53). A significantly increased risk was observed for higher intake of energy (OR=2.67, 95%CI: 0.94, 7.57), protein (OR=1.49, 95%CI: 0.54, 4.10) and carbohydrates (OR=5.32, 95%CI: 1.78, 15.86). Higher consumption of daily servings from cereals (OR=3.25, 95%CI: 0.87, 12.09) and meat groups (OR=1.55, 95%CI: 0.58, 4.15) were also found to be associated with risk of NHL, whereas a significantly reduced risk was associated with higher consumption of vegetables (OR=0.24, 95%CI: 0.07, 0.82). The consumption of fruits, milk and dairy products however showed no significant association with the risk of developing NHL. Conclusion: The results suggest that obesity, high caloric intake, higher consumption of carbohydrate and protein are associated with increased risk of NHL, whereas a significantly reduced risk was observed with higher intake of vegetables.

Keywords

References

  1. Anand P, Kunnumakara AB, Sundaram C, et al (2008). Cancer is preventable disease that requires major lifestyle changes. Pharmaceutical Res, 25, 2097-116. https://doi.org/10.1007/s11095-008-9661-9
  2. Aune D, Chan DS, Vieira AR, et al (2012) Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies. Breast CancerRes Treat, 134, 479-93. https://doi.org/10.1007/s10549-012-2118-1
  3. Bianchini F, Kaaks R, Vainio H (2002). Overweight, obesity and cancer risk. Lancet Oncology, 3, 565-74. https://doi.org/10.1016/S1470-2045(02)00849-5
  4. Block G, Hartman AM, Naughton D (1990). A reduced dietary questionnaire development and validation. Epidemiol, 1, 58-64. https://doi.org/10.1097/00001648-199001000-00013
  5. Chang ET, Balter KM, Torrang A, et al (2006). Nutrient intakes and risk of non-Hodgkin's lymphoma. Am J Epidemiol, 164, 1222-32. https://doi.org/10.1093/aje/kwj330
  6. Chen GC, Da-Bing LV, Pang Z, et al (2012) Fruits and vegetables consumption and risk of non-Hodgkin's lymphoma: a meta-analysis of observational studies. Int J Cancer, 10, 27992.
  7. Chiu BCH, Cerhan JR, Folsom AR, et al (1996) Diet and risk of non-Hodgkin's lymphoma in older women. JAMA, 276, 1315-21.
  8. Chiu, BC, Weisenburger, DD (2003). An update of epidemiology of non-Hodgkin's lymphoma. Clin Lymphoma, 4, 161-8. https://doi.org/10.3816/CLM.2003.n.025
  9. Chiu BC, Kwon S, Evens AM, et al (2011). Dietary intake of fruit and vegetables and risk of non-hodgkin lymphoma. Cancer Causes Control, 22, 1183-95. https://doi.org/10.1007/s10552-011-9797-5
  10. Daniel CR, Sinha R, Park Y, et al (2012). Meat intake is not associated with risk of non-Hodgkin's lymphoma in a large prospective cohort of U.S. men and women. J Nutr, 142, 1074-80. https://doi.org/10.3945/jn.112.158113
  11. Davis, S (1992). Nutritional factors and the development of non-Hodgkin's lymphoma: A review of the evidence. Cancer Res, 52, 5492-5.
  12. De-Stefani E, Fierro L, Barrios E, et al (1998). Tobacco, alcohol, diet and risk of non-hodgkin's lymphoma: a case-control study in Uruguay. Leuk Res, 22, 445-52. https://doi.org/10.1016/S0145-2126(97)00194-X
  13. Donadlson MS (2004). Nutrition and cancer; a review of the evidence for an anti-cancer diet. Nutrition J, 3, 19. https://doi.org/10.1186/1475-2891-3-19
  14. Doll R, Peto R (1981). The causes of cancer: quantitative estimates of avoidable risk of cancer in The United States today. J Natl Cancer Inst, 66, 1192-308.
  15. Elbasmi A, Al-Asfour A, Al-Nesf Y, et al (2010). Cancer in kuwait: magnitude of the problem. Gulf J Oncolog, 1, 7-14.
  16. Frankenfeld CL, Cerhan JR, Cozen W, et al (2008). Dietary flavonoid intake and non-Hodgkin lymphoma risk. Am J Clin Nutr, 87, 1439-45.
  17. Franceschi S, Serraino D, Carbone A, et al (1989). Dietary factors and non-Hodgkin's lymphoma: a case control study in the Northeastern part of Italy. Nutr Cancer, 12, 333-41. https://doi.org/10.1080/01635588909514034
  18. Hermsdorff HH, Barbosa KB, Volp AC, et al (2012). Vitamin C and fibre consumption from fruits and vegetables improves oxidative stress markers in healthy young adults. Br J Nutr, 107, 1119-27. https://doi.org/10.1017/S0007114511004235
  19. Holtan SG, O'Connor HM, Fredericksen ZS, et al (2012). Food-frequency questionnaire-based estimates of total antioxidant capacity and risk of non-hodgkin lymphoma. Int J Cancer, 131, 1158-68. https://doi.org/10.1002/ijc.26491
  20. Hermann S, Rohrmann S, Linseisen J, et al (2010). Level of education and the risk of lymphoma in the European prospective investigation into cancer and nutrition. J Cancer Res Clin Oncol, 136, 71-7. https://doi.org/10.1007/s00432-009-0638-9
  21. Hosnijeh FS, Heederik D, Vermeulen R (2012). A review of the role of lymphoma markers and occupational and environmental exposures. Vet Q, 32, 61-73. https://doi.org/10.1080/01652176.2012.709362
  22. Kabat GC, Kim MY, Wactawski-Wende J, et al (2012). Anthropometric factors, physical activity and risk of Non-hodgkin's lymphoma in the women's health initiative. Cancer Epidemiology, 36, 52-59. https://doi.org/10.1016/j.canep.2011.05.014
  23. Kelemen LE, Cerhan JR, Lim U, et al (2006). Vegetables, fruits, and antioxidant- related nutrients and risk of non-Hodgkin's lymphoma; a national cancer institute- surveillance, epidemiololgy, and end results population-based case-control study. Am J Clinical Nutrition, 83, 1401-10.
  24. Khoja T, Zahrani A (2010). Epidemiology of cancer in the Gulf region. Pan Arab J Oncology, 3, 9.
  25. Lee JE, Spiegelman D, Hunter DJ, et al (2008). Fat protein and meat consumption and renal cell cancer risk: A pooled analysis of 13 prospective studies. J Natl Cancer Inst, 100, 1695-706. https://doi.org/10.1093/jnci/djn386
  26. Lee JH, Khor TO, Shu L, et al (2012). Dietary phytochemicals and cancer prevention: Nrf2 signaling, epigenetics, and cell death mechanisms in blocking cancer initiation and progression. Pharmacol Ther, 10, 163-7258.
  27. Matsuo K, Hamajima N, Hirose K, et al (2001). Alcohol, smoking, and dietary status and susceptibility to malignant lymphoma in Japan: results of a hospital-based case-control study at Aichi Cancer centre. Jap J Cancer Res, 92, 1011-7. https://doi.org/10.1111/j.1349-7006.2001.tb01054.x
  28. Milner, JA, (2006). Diet and cancer: facts and controversies. Nutrition and Cancer, 56, 216-24. https://doi.org/10.1207/s15327914nc5602_13
  29. Ministry of Health (MOH). 2006. Chemical composition and recipes of common Omani foods, 2006. Ministry of Health, Muscat, Oman.
  30. Ministry of Health (2012) Cancer Incidence in Oman: Annual Report of 2010, Department of non-Communicable Diseases Surveillance and control, Directorate General of Health Affairs, Ministry of Health, Muscat, Oman. http://www.moh.gov.om/en/reports/. Accessed on Aug 27, 2012.
  31. Mozaheb Z, Aledavood A, Farzad F (2012). Diet and non-Hodgkin's lymphoma risk. Pan Afr Med J, 12, 53.
  32. Musaiger AO, Hassan AS, Obeid O (2011). The paradox of nutrition-related disease in the arab countries: the need for action. Int J Environ Res Public Hlth, 8, 3637-71. https://doi.org/10.3390/ijerph8093637
  33. Musaiger AO, Takruri HR, Hassan AS, et al (2012). Food-based dietary guidelines for the Arab Gulf countries. J Nutrition and Metabolism, 10, 905303.
  34. Musaiger AO, Ahmed AM, Rao MV (1998). Chemical composition of some traditional dishes of Oman. Food Chemistry, 61, 17-22. https://doi.org/10.1016/S0308-8146(97)00148-9
  35. Ollberding NJ, Maskarinec G, Conroy SM, et al (2012). Prediagnostic circulating carotenoid levels and the risk of non-Hodgkin lymphoma: the Multiethnic Cohort. Blood, 119, 5817-23. https://doi.org/10.1182/blood-2012-02-413609
  36. Pan SY, Mao Y, Ugnat A (2005). Physical activity, obesity, energy intake, and the risk of non-Hodgkin's lymphoma: a population-based case control study. Am J Epidemiol, 162, 1162-73. https://doi.org/10.1093/aje/kwi342
  37. Pischon L, Nothlings U, Boeing H (2008). Obesity and cancer. Proc Nutr Soc, 67, 128-145. https://doi.org/10.1017/S0029665108006976
  38. Purdue MP, Bassani DG, Klar NS, et al (2004). Dietary factors and risk of non-Hodgkin's lymphoma by histologic sub-type: A case control analysis. Cancer Epidemiology, Biomarker and Prevention, 13, 1665-76.
  39. Reiss R, Johnston J, Tucker K, et al (2012) Estimation of cancer risks and benefits associated with a potential increased consumption of fruits and vegetables. Food Chem Toxicol, 50, 4421-27. https://doi.org/10.1016/j.fct.2012.08.055
  40. Reynold JV, Donohoe CL, Doyle SL (2011). Diet, obesity and cancer. Ir J Med Sci, 180, 521-7. https://doi.org/10.1007/s11845-010-0653-5
  41. Salim EI, Jazieh AR, Moore MA (2011). Lung cancer incidence in the Arab league countries; risk factors and control. Asian Pac J Cancer Prev, 12, 17-34.
  42. Sangrajrang S, Renard H, Kuhaprema T, et al (2011). Personal use of hair dyes--increased risk of non-hodgkin's lymphoma in Thailand. Asian Pac J Cancer Prev, 12, 2393-6.
  43. Skibola CF (2007). Obesity, diet and risk of non-Hodgkin's lymphoma. Cancer Epidemiol, Biomarkers and Prev, 16, 392-95. https://doi.org/10.1158/1055-9965.EPI-06-1081
  44. Tadmouri GO, Nair P (2012). Cancers in Arab populations, concise notes. Hamdan Med J, 5, 79-82.
  45. Talamini R, Polesel J, Montella M, et al (2006) Food groups and risk of non-Hodgkin's lymphoma: A multicenter case-control study in Italy. Int J Cancer, 118, 2871-6. https://doi.org/10.1002/ijc.21737
  46. Thompson CA, Habermann TM, Wang AH, et al (2010). Antioxidant intake from fruits, vegetables and other sources and risk of non-hodgkin's lymphoma: the iowa women's health study. Int J Cancer, 126, 992-1003.
  47. Tramacere I, Pelucchi C, Bonifazi M, et al (2012). Alcohol drinking and non-Hodgkin's lymphoma risk: a systematic review and a meta-analysis. Ann Oncol, 23, 2791-8. https://doi.org/10.1093/annonc/mds013
  48. Ward HM, Zahm SH, Weisenburger DD, et al (1994). Dietary factors and non-hodgkin's lymphoma in Nebraska (United States). Cancer Causes and Control, 5, 422-32. https://doi.org/10.1007/BF01694756
  49. Willet WC (1998). Nutritional Epidemiology. Oxford University Press, New York.
  50. Willet WC (2010). Fruits, vegetables and cancer prevention: Turmoil in the produce section. J National Cancer Institute, 102, 510-11. https://doi.org/10.1093/jnci/djq098
  51. Willet WC, Stampfer MJ (1986). Total energy intake: implications for epidemiologic analysis. Am J Epidemiol, 124, 17-27.
  52. Willett EV, Morten LM, Hartge P, et al (2008). Non-hodgkin's lymphoma and obesity: a pooled analysis from the InterLink consortium. Inter J Cancer, 122, 2062-70.
  53. World Health Organization, WHO (1977) Manual of international classification of diseases, injuries and causes of death. 9th revision, Geneva, WHO.
  54. Zhang S, Hunter DJ, Rosoner BA, et al (1999). Dietary fat and protein in relation to risk of non-hodgkin's lymphoma among women. J National Cancer Institute, 91, 1751-8. https://doi.org/10.1093/jnci/91.20.1751
  55. Zhang SM, Hunter DJ, Rosner BA, et al (2000). Intakes of Fruits, vegetables and the risk of non-hodgkin's lymphoma among women. Cancer Epidemiol, Biomarkers and Prev, 9, 477-85.
  56. Zheng, T, Holford, TR, Leaderer B, et al (2004). Diet and nutrient intakes and risk of non-hodgkin's lymphoma in connecticut women. Am J Epidemiol, 159, 454-66. https://doi.org/10.1093/aje/kwh067

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